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  1. As I understand it, a PA cannot bill for psychotherapy in many states without specific approval from the licensing board, and only after meeting additional specified criteria. For example, this is the statute governing such in the State of Maryland: A physician assistant (PA) may practice psychotherapy if the PA has the required additional education, training and experience to practice psychotherapy. Performing psychotherapy would be considered an advanced duty and therefore would require documentation of additional education, training and experience. When the Board licensed psychiatrist assistants, the minimum requirements were: Master’s degree from an accredited college or university; AND Completion of a graduate program accepted by the Board in a behavioral science that included 1, 000 hours of supervised clinical psychotherapy; OR Bachelor’s degree from an accredited college or university; AND 4,000 hours of supervised clinical experience that is approved by the Board. A PA should have similar education, training and experience before seeking Board approval to practice psychotherapy.
  2. I simply do not understand. I was considering this option as well. Does anyone have thoughts on how we can push back on this? I am happy to contribute time and effort if I had a sense of direction.
  3. Thank you, Scott. I appreciate your ongoing efforts on behalf of our profession.
  4. Dear All, Your compassion and commitment to whole person care truly humble me, and I am more proud than I can possibly say to call you my colleagues. Warmly, ~ A.
  5. Ventana, I'm not disagreeing here, but I am wondering what your solution means for currently practicing PAs who do not hold a doctoral degree and/or have not completed a residency.
  6. Yes, you can transfer a DEA from one state to another, as is clearly stated on the governmental website (which of course I did consult). I am also aware of having to pay for two registrations in two different states, if one is prescribing in two states (which again I stated I had done in my first post). My question was whether I could transfer the DEA registration without having yet secured employment as a PA in the state to which I would make the transfer. It did not occur to me that I might use the college address (thank you for that idea, DizzyJ).
  7. Good Morning, I am getting conflicting information on this question and thought I'd ask my colleagues here on the forum for their suggestions. I used to have two DEA registrations in two neighboring states, as I practiced in both. When I consolidated my work in the one state, I let the second DEA registration expire. I then left practice in the second state nine months ago to take an academic position (and have not been working as a PA since that time). The active DEA registration in the second state will expire next month. As I do plan to return to practice within three months, I thought I should renew the existing DEA, and then transfer it to the state in which I will be practicing (which, coincidentally, is the state in which I allowed the second DEA to expire three years ago). I could allow the current DEA registration to expire, and then seek new DEA registration in this state, but I typically see "active DEA" as a requirement of employment on job descriptions. I am still licensed in both states. But, as I am not currently practicing at the location that is tied to my DEA, I was unsure of the legalities of renewal. As a PA, am I allowed to be DEA registered without being presently in a "collaborative" relationship with a physician and a practice? I do know that I am required to notify the DEA of any changes in address and in location, and I did not do this when I left the previous practice because: 1) there was a legitimate question of my continued part-time employment there, as I have skills and certifications that my replacement did not, and, 2) I knew I would not be practicing anywhere else while completing my teaching contract. Thanks is advance for your thoughts.
  8. In my spam folder as well. Plan to complete it today.
  9. Oh, my goodness. I talk wistfully quite frequently about how I loved PA school, even the didactic year; how it was such an amazing adventure; how I learned so much and mastered so much and developed so many skills. I wax on and on about how I met incredible and inspiring people - classmates, professors, preceptors, and patients alike. I lament repeatedly that it is now over (it has been ten years) and how I'd love to go back. And then.... All the people who endured the experience with me (my spouse, my children, my siblings, my BFF) remind me that, at the time, it was hell. Hang in there. One day you, too, will have the privilege of looking back - through a very different lens. All my best ~ A.
  10. GTOTM, Thanks for sharing that state specific detail of license renewal. I checked the regulations of both states in which I am licensed and found nothing specifying hours in practice for renewal, but I am contacting the state PA associations in each state for further guidance. As UGoLong stated, most of my PA professors spent little time (and in one case, spent no time) engaged in weekly clinical practice. The full time faculty generally completed one 8 to 12 hour weekly shift in their various medical specialties (ED, OR, FM, HIV). UGoLong, While teaching does "make me happy," I cannot imagine having spent long, hard, expensive years training as a PA and sweating over the first few anxiety-producing years of practice and then not returning to medicine after this one (or two) year hiatus. Additionally, I am not really tenure eligible (I'd probably retire before running out a six year tenure clock and search committees would be wise to that) and visiting professorships are rarely longer than one year (this is an interesting exception). I'm actually questioning whether I agree with the provisions of the Texas law. Of course being in the field keeps us current, and knowledgeable, and skilled, but am I unskilled and un-knowledgeable after two years in other pursuits? There would still be CME to be earned for NCCPA certification and for licensure, and I am not a new grad with no experience to consolidate my PA education. Maybe a four year hiatus, or longer, might reflect a more significant decline in ability to practice? Just contemplating the intention of the law here...
  11. Good Morning, I'm seeking sage advice from my colleagues on the forum. I became a PA about ten years ago (as a second career; I was previously a university professor in the social sciences). I started working right after graduation, spent four years in family medicine, and then transitioned to my passion - women's health. Last July I applied for a one year visiting professorship in my discipline (psychology) at a small, liberal arts college in a highly desirable location - a town in a neighboring state where my spouse and I had thought of retiring one day. Quite unexpectedly, I was offered the job in August and accepted it. I had no termination language at all in my contract as a PA (at my CP's request). I am now one semester into this experience. Although it has taken hard work with long hours to be back in the classroom with three new preps, it has gone well. Well enough, in fact, that the college has offered to extend my contract for a second year. They have additionally offered a salary increase, reimbursement for conference fees and travel expenses, and funds to establish my lab here. It is enticing in many ways to consider a second year, and I especially love the location (I am four blocks from the water). However, my long range plans include a return to medicine, and eventually, global health. I'd like to spend time in Africa and in South America with underserved women and am working on a financial plan that might allow us to live on minimal compensation for these endeavors. But...I'm concerned about the impact of a two year absence on my future hiring prospects. Of course I've thought about adding a weekly shift in some medical capacity to my schedule, but this is a small town with limited opportunities to do so, and I am constrained by my classroom as well as other college commitments. I've also thought about whether it might be feasible to do some locum tenens work during the upcoming summer. At present I have asked for a bit more time to wrestle with this decision so I can sort out the question of my future as a PA. I'd appreciate any wisdom and experience on this topic. Many thanks.
  12. Because I was 47 and could not imagine four years of school, four years of residency (OB/GYN) and then only a decade or so to practice.
  13. lkth487, I agree fully with your sentiments. It was not me, but the BON, that made this an untenable situation. I have, on many occasions, and would happily and enthusiastically continue, to share my knowledge with all who sought it. But not under the arrangements proposed, which I found quite honestly to be fraudulent.
  14. BON in my state apparently decided two years ago that NP students could not be precepted by PAs; this, after two were scheduled with our practice for six week rotations each. One of these students had been (unsuccessfully) seeking a women's health rotation for eight months previously. When she contacted the nurse administrator at the hospital where she was currently completing a rotation for clarification, she was advised to attend the rotation with me anyway, but to have the CP sign all her paperwork and complete her evaluation. She was further advised not to even mention me or my PA credentials by name. As the MD was in the office approximately 3 hours per week and would have had absolutely minimal contact with the student, I refused this "suggestion." If I am good enough to precept and train the student, then I am good enough to do the evaluation and be on record for having done so. With this kind of inter-professional animosity, I'd agree with the above: Focus your educational efforts on future generations of PAs.
  15. Wow. How crappy for you. I also am sorry for your unhappy welcome to the profession. This was not unlike my first job in family medicine. I lasted one year, moved on to another family medicine practice for three years, and now have been in women's health for five years. The most important question I asked of a prospective collaborating physician moving forward was this: "Do you like to teach?" Of course they all said yes. I then requested at least two shadowing days to be sure this was true, and to be sure their teaching style was a good match for me. I'm glad you reached out to your colleagues on the forum. You've been given sage advice above and I encourage you to keep the faith. We wish you the best.
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